😄, I think OP's following ACGME duty hour rules, i.e. average over 4 weeks. Hey q2-3 x28s still means you get at least 12-24 hours off during which to sleep. Plus don't forget the 30 min you get falling asleep in that ICU work room chair. Just because sleep schedule disruption and insomnia means you don't sleep that whole time doesn't mean you couldn't 😉 .Where's the <5 option?